| NPI | 1447743745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0074259) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101023936) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2025-01-30 |